NPI 1457484347

Lakewood Residential Services, INC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Springfield, MO

Practice location

Address: 1565 E Briar St, Springfield, MO 65804-7102
Phone: (417) 882-3889
Fax: (417) 882-3813

Authorised official

Name: Melissa Richter
Title: Owner
Phone: (417) 459-5622

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1457484347
Entity type: Organization
NPI issued: 13 Mar 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.